Knowledge and Practice of Immediate Dentures among the Dentists in Private Clinics in Khartoum State: A Descriptive Cross-sectional Study
Okasha Hassan, Fadia Awadalkreem, Ibrahim A Ismail, Vivek Padmanabhan
Dentists, Immediate denture, Knowledge, Practice
Citation Information :
Hassan O, Awadalkreem F, Ismail IA, Padmanabhan V. Knowledge and Practice of Immediate Dentures among the Dentists in Private Clinics in Khartoum State: A Descriptive Cross-sectional Study. J Contemp Dent Pract 2023; 24 (7):485-493.
Aim of the study: To assess the awareness and practice of Immediate Dentures among the dentists who work in the private clinics in Khartoum state, Sudan.
Materials and methods: A descriptive cross-sectional questionnaire-based study was conducted among the dental medical officers, registrars, specialists, and consultants who are working in private clinics and centers in Khartoum state and registered the private medical institutions in Sudan. The sample population was 664, using the stratified sampling technique and simple randomization within the stratum, 265 dentists were asked to participate in the study voluntarily.
A self-administered questionnaire consisted of 32 closed questions and 3 sections, section (1) involved the participant's data, section (2) contained the participant's knowledge, and section (3) the participant's practice was distributed. The participant's knowledge and practice scores were calculated as percentages achieved by dividing the number of accurate answers of the participants by the total number of questions and categorized as Good (66.6–100%), Average (33.3–66.6%), and Poor (less than 33.3%).
Data was collected and analyzed using a statistical package of Social Science (SPSS) computer software version 22. Chi-square was used for statistical analysis.
Results: The response rate was 100%, with nearly equal distribution between males (135, 50.9%) and females (130, 49.1%). The age range is 24–39 years, with a mean of 31.65 ± 7.52 years. The majority of the participants (172, 64.9%) were freshly graduated and young practitioners, with the majority of them having experience ranging from 1 to 6 years. The result of the study revealed that 65.7% of the respondents have average knowledge about immediate denture while 8.7% expressed poor knowledge and only 25.7% had excellent knowledge.
On the other hand, the majority of the participants (200,75.5%) have never constructed an immediate denture, while only 21.1% have a history of constructing 1–5 immediate dentures, 3% constructed more than 5–10 immediate dentures and only 0.4% constructed more than 10 immediate dentures.
The lack of knowledge and experience was the main barrier preventing the use of immediate dentures, and the mainstream of the participants (118, 44.5%), evaluated their knowledge about the immediate denture as poor.
Using the Chi-square test, the correlation between the participants’ knowledge and their gender, years of experience, and qualification was found not significant (p-values of 0.46, 027, and 0.66, respectively) while a significant correlation was found between the participants’ self-evaluation of their knowledge and their knowledge score with a p-value of 0.000*.
Conclusion: Within the limitations of this study, the dental practitioners have average knowledge about the immediate denture, but the practice of the immediate denture is still very limited and requires enhancement.
Clinical significance: Immediate dentures have a significant role in maintaining the patient's esthetics, phonetics, masticatory efficiency, self-esteem, and quality of life. Hence, the knowledge and practice of the different dentists about the immediate denture are of great importance to improve the standard of care provided for the patient.
Shah FK, Gebreel A, Habib AA, et al. Comparison of immediate complete denture, tooth and implant-supported overdenture on vertical dimension and muscle activity. JAP 2012;42:61–71. DOI: 10.4047/jap.2012.4.2.61.
Khalifa N, Allen PF, Abu-bakr NH, et al. A survey of oral health in a Sudanese population. BMC Oral Health 2012;121:5. DOI: 10.1186/1472-6831-12-5.
Gerritsen A, Allen A, Witter D, et al. Tooth loss and oral health –related quality of life: A systematic review and meta-analysis. Health Qual Life Outcomes 2010;8:126. DOI: 10.1186/1477-7525-8-126.
Marchini L. Patients’ satisfaction with complete dentures: An update. Braz Dent Sci 2014;17(4):5–16. DOI: 10.14295/bds.2014.v17i4.1043.
Kuruvilla A, Varghese P, Anju K G, et al. Immediate Dentures: A clinical review and case report. J Odontol Res 2015;3(1):44–48. Indexed with.44. Available from: https://scholar.google.com/scholar?hl= en&as_sdt=0%2C5&q=Immediate+Dentures%3A+A+clinical+ review+and+case+report.+J+Odontol+Res+2015&btnG=.
George GS, Hussain S, Welfare R. Immediate Dentures: 1. Treatment planning. Dent update 2010;372:82–91. DOI: 10.12968/denu.2010.37.2.82.
Johnson K. A three-year study of the dimensional changes occurring in the maxilla following immediate denture treatment. Australian dental journal 1967;122:152–159. DOI: 10.1111/j.1834-7819.1967.tb02191.x.
Carlsson GE, Thilander H, Hedegård B. Histologic changes in the upper alveolar process after extractions with or without insertion of an immediate full denture. Acta Odontologica Scandinavica 1967; 25(1):21–43. DOI: 10.3109/00016356709072521.
Rignon-Bret C, Wulfman C, Valet F, et al. Radiographic evaluation of a bone substitute material in alveolar ridge preservation for maxillary removable immediate dentures: A randomized controlled trial. J Prosthet Dent 2022;128(5):928–935. DOI: 10.1016/j.prosdent.2021.02.013.
Jogezai U, Laverty D, Walmsley AD. Immediate dentures part 1: Assessment and treatment planning. Dent Update 2018;457:617–624. DOI: 10.12968/denu.2018.45.7.617.
George G, Lewis NJ, Malton C, et al. Immediate dentures: 2. Clinical stages of construction. Dent Update 2010;37(3):154–160. DOI: 10.12968/denu.2010.37.3.154.
Hasti K, Hasti A, Sharma R, et al. Immediate Denture - an important treatment modality. K D J 2016;2739:27–29. Available from: https://scholar.google.com/scholar?hl=en&as_sdt=0%2C5&q=Immediate+ Denture+-+an+important+treatment+modality.+K+D+J.+2016% 3B2739%3A27%E2%80%9329.&btnG=.
Rawat M, Chadda AS, Bisht S. Immediate Complete Denture - A Case Report. Journal of Dental Herald 2017;41:1–2. E ISSN No.: 2348 – 1331.
Hassan B, Greven M, Wismeijer D. Integrating 3D facial scanning in a digital workflow to CAD/CAM design and fabricate complete dentures for immediate total mouth rehabilitation. The journal of advanced prosthodontics 2017;9(5):381–386. DOI: 10.4047/jap.2017.9.5.381.
Fang JH, An X, Jeong SM, et al. Digital immediate denture: A clinical report. J Prosthet Dent 2018;119(5):698–701. DOI: 10.1016/j.prosdent.2017.06.004.
Jurado CA, Tsujimoto A, Alhotan A, et al. Digitally fabricated immediate complete dentures: Case reports of milled and printed dentures. Int J Prosthodont 2020;33(2):232–241. DOI: 10.11607/ijp.6305.
Millet C, Virard F, Dougnac-Galant T, et al. CAD-CAM immediate to definitive complete denture transition: A digital dental technique. J Prosthet Dent 2020;124(6):642–646. DOI: 10.1016/j.prosdent.2019.10.025.
Neumeier TT, Neumeier H. Digital immediate dentures treatment: A clinical report of two patients. J Prosthet Dent 2016;116(3):314–319. DOI: 10.1016/j.prosdent.2016.01.010.
Sushma R, Farias A, Bommanavar S, kore A, Joshi S. Awareness and practice of tissue supported complete immediate removable awareness and practice of tissue supported complete immediate removable denture prosthesis treatment protocols in patients with compromised denture prosthesis treatment protocols in patients with compromised dentitions in western Maharashtra. IJCR 2016;8(10): 39986–39990. Available from: https://www.researchgate.net/search.Search.html?query=Awareness+and+practice+of+tissue+supported+complete+immediate+removable+awareness+and+practice+of+tissue+supported+complete+immediate&type=publication.
Jogezai U, Laverty D, Walmsley AD. Immediate dentures part 2: Denture construction. Dent Update 2018;45(8):720–726. DOI: org/10.12968/denu.2018.45.8.720.
Del Aguila MA, Leggott PJ, Robertson PB, et al. Practice patterns among male and female general dentists in a Washington state population. The Journal of the American Dental Association 2005;136(6):790–796. DOI: 10.14219/jada.archive.2005.0265.
Egan JG, Thamson WM. Removable prosthodontic surfaces, including implant supported overdenture provided by dentist and denturists. J Oral Rehabil 2008;35(4):252–258. DOI: 10.1111/j.1365-2842.2007.01797.x.
Gould FK, Elliott TS, Foweraker J, et al. Guidelines for the prevention of endocarditis: Report of the working party of the British Society for Antimicrobial Chemotherapy. J Antimicrob Chemother 2006;57(6):1035−1042. DOI: 10.1093/jac/dkl121.
Caputi S, Murmura G, Ricci L, et al. Immediate denture fabrication: A clinical report. Annali di Stomatologia 2013;4(3-4):273–277. PMID: 24611094.
Yeung C, Leung KCM, Yu OY, et al. Prosthodontic rehabilitation and follow-up using maxillary complete conventional immediate denture. Clin Cosmet Investig Dent 2020;12:437–445. DOI: 10.2147/CCIDE.S271304.
Hussain M, Ali SA, Hassan SI, et al. Diabetes mellitus patients; Immediate dentures. Professional Med J 2015;22(11):1409–1414. DOI: 10.17957/TPMJ/15.2870.
Mahmood WA, Watson CJ, Ogden AR, et al. Use of image analysis in determining masticatory efficiency in patients presenting for Immediate Dentures. Int J of Prosthodontics 1992;5(4):359–366. PMID: 1520458.
Leathers LL. Overcoming obstacles and objections to immediate dentures. Journal of Prosthetic Dentistry 1960;10(1):5–13. DOI: https://doi.org/10.1016/0022-3913(60)90081-0.
Lee JH. Fabricating an immediate denture for a medically compromised elderly patient. J Prosthet Dent 2015;113(4):277–281. DOI: 10.1016/j.prosdent.2014.09.019.
Bedrossian EA, Putra A, Chung KH. A technique to correct anterior-posterior tooth discrepancy for a maxillary immediate complete denture. J Prosthodont 2019;28(6):719–723. DOI: 10.1111/jopr.12713.
Shalini P, Reddy N. Immediate denture - Case report. Am J PharmTech Res 2019;9(4):22–26. DOI: 10.46624/ajptr.2020.v10.i3.003.